scholarly journals Against a high-risk strategy in the prevention of suicide

1998 ◽  
Vol 22 (9) ◽  
pp. 534-536 ◽  
Author(s):  
Navneet Kapur ◽  
Allan House
Keyword(s):  
High Risk ◽  
Population Based ◽  
Models Of Care ◽  
Preventive Strategy ◽  
Combined Approach ◽  
Suicidal Risk ◽  
Deliberate Self Harm ◽  
Medical Models ◽  
Self Harm

Standard approaches to the prevention of suicide have concentrated on the rigorous assessment and management of suicidal risk. Using deliberate self-harm as a specific example, we discuss the relative merits of this ‘high-risk’ strategy and compare it with a population-based preventive strategy. We conclude that a combined approach offers the best hope for reducing the rate of suicide, although it may not fit easily with medical models of care.

Strategies for preventing suicide

1997 ◽  
Vol 171 (4) ◽  
pp. 351-354 ◽  
Author(s):  
Glyn Lewis ◽  
Keith Hawton ◽  
Peter Jones
Keyword(s):  
High Risk ◽  
Population Attributable Fraction ◽  
Population Based ◽  
Number Needed To Treat ◽  
Deliberate Self Harm ◽  
Suicide Rates ◽  
Population Attributable Fractions ◽  
Effective Interventions ◽  
Self Harm ◽  
The Uk

BackgroundThe Health of the Nation includes a target for reducing population suicide rates. We have examined and quantified various high-risk and population-based strategies for prevention based upon a number of stated assumptions and hypothetical interventions.MethodThe published literature was used to estimate the population attributable fractions for both high-risk and population-based strategies. The number needed to treat for the high-risk strategies was calculated, assuming an intervention that reduced suicide rates by 25%ResultsInterventions that would reduce rates of suicide by 25% would reduce population rates by about 2.6% for those recently discharged from hospital and by up to 5.8% for those presenting to general hospital with deliberate self-harm. The population attributable fraction for unemployment was 10.9%ConclusionsHigh-risk strategies will have only a modest effect on population suicide rates, even if effective interventions are developed. Evaluating interventions for deliberate self-harm patients seems worthwhile. The UK Government's target for suicide reduction is more likely to be achieved using population-based strategies. Reducing the availability of methods commonly used for committing suicide is the most practicable current policy, although more radical approaches, for example reducing unemployment, may also substantially reduce suicide rates.

Suicide among Psychiatric in-Patients in the Wellington Region

1993 ◽  
Vol 27 (3) ◽  
pp. 392-398 ◽  
Author(s):  
Deborah A. Read ◽  
Christopher S. Thomas ◽  
Graham W. Mellsop
Keyword(s):  
Past History ◽  
Health Board ◽  
Suicidal Risk ◽  
Patient Suicide ◽  
Deliberate Self Harm ◽  
Psychiatric Admissions ◽  
History Of ◽  
Self Harm ◽  
Area Health ◽  
Control Study

To identify risk factors for in-patient suicide, a case-control study of in-patient suicide was conducted in the Wellington Area Health Board region between 1984 and 1989 on 27 cases and 86 controls. The risk of in-patient suicide was increased among individuals who had been compulsorily admitted, suffered from schizophrenia, had a past history of deliberate self harm, had been in hospital for more than a month, or were unmarried. Notably, there was no relationship with physical health, a history of substance abuse, number of psychiatric admissions and time since the last known episode of deliberate self harm. These characteristics can assist clinical assessment of individual suicidal risk. Further evaluation of the relation of compulsory admission to suicide is required.

Deliberate self-harm among Chinese medical students: A population-based study

2016 ◽  
Vol 202 ◽  
pp. 137-144 ◽  
Author(s):  
Dan Wu ◽  
Ian R.H. Rockett ◽  
Tingzhong Yang ◽  
Xueying Feng ◽  
Shuhan Jiang ◽  
...  
Keyword(s):  
Medical Students ◽  
Population Based ◽  
Population Based Study ◽  
Deliberate Self Harm ◽  
Chinese Medical Students ◽  
Self Harm

scholarly journals The risk of deliberate self-harm following a diagnosis of rheumatoid arthritis or ankylosing spondylitis: A population-based cohort study

PLoS ONE ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. e0229273
Author(s):  
Bindee Kuriya ◽  
Simone Vigod ◽  
Jin Luo ◽  
Jessica Widdifield ◽  
Nigil Haroon
Keyword(s):  
Rheumatoid Arthritis ◽  
Cohort Study ◽  
Ankylosing Spondylitis ◽  
Population Based ◽  
Deliberate Self Harm ◽  
Self Harm

scholarly journals Use of psychoactive substances by adolescents in different types of auto-aggressive behaviour

2020 ◽  
Vol 10 (1) ◽  
pp. 116-122
Author(s):  
A.A. Grigoryeva ◽  
A.A. Gavrichenkova
Keyword(s):  
Substance Use ◽  
High Risk ◽  
Suicidal Behaviour ◽  
Aggressive Behaviour ◽  
Body Modification ◽  
Research Data ◽  
Suicidal Risk ◽  
Psychoactive Substances ◽  
Different Types ◽  
Self Harm

The article presents research data on the characteristics of the psychoactive substances use in suicidal, self-harming and normative behaviour among adolescents. 131 adolescents with a high risk of suicidal behaviour, 142 adolescents with a high risk of self-harming behaviour and 553 adolescents with normative behaviour were examined. Methods used: the SL-19 questionnaire (Yunantskevich P.I., 2009) was used to identify adolescents with suicidal risk; “method of body modification and self-harm” (Polskaya N.A., 2017) - for identification adolescents with self-damaging behaviour, including the substance use (alcohol, drugs, tobacco). Based on data, it is concluded that half of adolescents prone to auto-aggressive behaviour are characterized by the formation of polymodal auto-aggressive complexes, including different types of auto-aggressive behaviour. Both suicidal and self-harming behaviours are accompanied by the use of different types of psychoactive substances (alcohol, tobacco and drugs). The most discernible use of substance is noted in the group of adolescents with a high risk of suicidal behaviour. An assumption is made about the need to develop comprehensive preventive programs that take into account different types of adolescents’ auto-aggression.

Deliberate self harm and assessing suicidal risk

2006 ◽  
Vol 67 (Sup11) ◽  
pp. M212-M213
Author(s):  
Afia Ali ◽  
Angela Hassiotis
Keyword(s):  
Suicidal Risk ◽  
Deliberate Self Harm ◽  
Self Harm

Coping Style as a Mediator of the Relationship Between Depressive Symptoms and Deliberate Self-Harm

Crisis ◽  
2011 ◽  
Vol 32 (5) ◽  
pp. 272-279 ◽  
Author(s):  
Allison S. Christian ◽  
Kristen M. McCabe
Keyword(s):  
Depressive Symptoms ◽  
Undergraduate Students ◽  
Cross Sectional Study ◽  
Self Report ◽  
Hierarchical Regression ◽  
Cross Sectional ◽  
Deliberate Self Harm ◽  
Self Blame ◽  
Self Harm ◽  
The Relationship

Background: Deliberate self-harm (DSH) occurs with high frequency among clinical and nonclinical youth populations. Although depression has been consistently linked with the behavior, not all depressed individuals engage in DSH. Aims: The current study examined maladaptive coping strategies (i.e., self-blame, distancing, and self-isolation) as mediators between depression and DSH among undergraduate students. Methods: 202 students from undergraduate psychology courses at a private university in Southern California (77.7% women) completed anonymous self-report measures. Results: A hierarchical regression model found no differences in DSH history across demographic variables. Among coping variables, self-isolation alone was significantly related to DSH. A full meditational model was supported: Depressive symptoms were significantly related to DSH, but adding self-isolation to the model rendered the relationship nonsignificant. Limitations: The cross-sectional study design prevents determination of whether a casual relation exists between self-isolation and DSH, and obscures the direction of that relationship. Conclusions: Results suggest targeting self-isolation as a means of DSH prevention and intervention among nonclinical, youth populations.

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